28 with dull skin, sagging cheeks, and nasolabial folds (Photo)

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

All of the problems seen in the photos are quite common and easily remediable with the use of the appropriate HA fillers. I sympathize with your impatience to be seen and treated. If you simply cannot wait to be seen, you may have to consider traveling to an area where there are a greater number of experienced, board certified cosmetic dermatologists who can accommodate you sooner. Also, be sure that whomever you see is an experienced injector and make sure to ask to see his/her personal before and after photos of the facial areas that you wish to have treated before agreeing to proceed. Best of luck.

The Photographs demonstrate a rather flat appearance of your maxilla. Consider placement of temporary fillers in that area to augment the volume loss in your cheeks. After you have tried fillers, then you can consider placing cheek implants to augment your cheeks a permanent basis.